The nurse is caring for a client who delivered vaginally 12 hours ago. The client reports pain in the left calf, and the nurse assesses an area of redness that is warm to touch and edematous
The nurse further confirms suspicions of thrombophlebitis by having the client: 1. Flex the ankle to check for a positive Babinski.
2. Lay supine and elevate the leg, gradually extending it to check for Brudzinski sign.
3. Point the toes to check for a positive Homans' sign.
4. Stroke the cheek and check for a positive rooting reflex.
3
Rationale: Thrombophlebitis of the calf results in a positive Homans' sign, indicated by calf pain caused by flexing the toes.
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The overall goal of nursing care for a patient who has recently suffered a stroke is to
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Which of the following may contribute to drug toxicity in the geriatric population?
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